Active NPI
Taylor Parker
- Professional Counselor
- Longview, TX
National Provider Identifier
1669138772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 911 Northwest Loop 281 Suite 312
Longview, TX 75604 - Phone
- (469) 334-3615
- Fax
- (469) 361-8241
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
911 Northwest Loop 281 Suite 312
Longview, TX 75604
Mailing address
414 Lura St
Longview, TX 75603-9322
Phone (469) 334-3615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82672 | Other | TX | TX LICNESE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117001420 | TX | Practitioner - Mental Health Counselor | 4688026446 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Therapy & Assessment Services PLLC | Professional | Current | Accepting new patients |
| Counseling Services, PLLC | Professional | Past | Accepting new patients |
| Kranz Psychological Services, PLLC | Professional | Past | Accepting new patients |
Locations
2401 Judson Rd
Ste 102
Longview, TX 75605
Phone (469) 334-3615
911 W Loop 281
Ste 312
Longview, TX 75604
Phone (469) 334-3615
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Longview, TX
- NPI 1174334023
Professional, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1669138772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 LURA ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756039322",
"telephone_number": "469-334-3615",
"fax_number": "469-361-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 NORTHWEST LOOP 281 SUITE 312",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75604",
"telephone_number": "469-334-3615",
"fax_number": "469-361-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICNESE",
"identifier": "82672",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.